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Organization
JACK P. PADGETT JR.
Active
Organization
JACK P. PADGETT JR.
Active
Other names
PADGETT'S DRIVE IN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JACK PERSHING PADGETT JR. RPH (PHARMACIST)
(803) 245-4298
Entity
Organization
Contact information
Practice address
540 NORTH ST, BAMBERG, SC 29003-1319
(803) 245-4298
(803) 245-1232
Mailing address
540 NORTH ST, BAMBERG, SC 29003-1319
(803) 245-4298
(803) 245-1232
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5001664
SC
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4202329
OTHER ID NUMBER
—
05
—
716647
—
SC
Enumeration date
10/23/2006
Last updated
12/12/2012
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